Supporting Parents to Choose Wisely

The goal of this multi-method study including a randomized control trial and qualitative interviews is to see how useful blogshots (an image that summarizes information) are at helping parents increase their knowledge and manage their expectations for common acute childhood conditions (e.g. sore throat, ear infection) with respect to Choosing Wisely Canada recommendations. Participants will be randomly assigned to Group A or Group B in this study. Group A will receive three of six blogshots over a 4-week period (a different blogshot will be sent by email to them each week for three weeks, then in the final week they will receive the same three blogshots in one summary email to review). Group B will receive the other three of six blogshots, following the same email sequence and timing. All participants from both groups will be asked to complete one baseline questionnaire at the start of the study and a follow-up questionnaire at week 5, month 3 and month 6 about different common acute childhood conditions, the blogshots and their content. All participants also have the option to participate in an optional semi-structured interview to give their thoughts on the blogshots and their experience in the study. Researchers will compared each participant's baseline score to their follow up scores to see if there was a change in their knowledge and expectations. By developing and evaluating evidence-based Choosing Wisely Canada resources, the researchers aim to make it easier for parents to choose wisely. Empowering parents to be part of conversations with their child's healthcare provider can improve health decision-making and reduce health system costs.

Sex

All

Minimum age

18 Years

Inclusion Criteria:

* Over the age of 18 years
* Parent or legal guardian of a child under 5 years of age
* Live in Canada
* Able to complete the questionnaire and interview in English (speak/read)
* Access to an electronic device (e.g. computer, tablet or smart phone), Internet and email.

Exclusion Criteria:

* Under the age of 18 years
* Does not identify as a parent or legal guardian of a child under 5 years of age
* Does not live in Canada
* Unable to complete the interview and questionnaire in English (speak/read)
* No access to an electronic device (e.g. computer, tablet or smart phone), Internet and email.

• BACKGROUNDAnzinger H, Elliott SA, Hartling L. Comparative Usability Analysis and Parental Preferences of Three Web-Based Knowledge Translation Tools: Multimethod Study. J Med Internet Res. 2020 Mar 13;22(3):e14562. doi: 10.2196/14562. PMID 32167478
• BACKGROUNDBorn KB, Coulter A, Han A, Ellen M, Peul W, Myres P, Lindner R, Wolfson D, Bhatia RS, Levinson W. Engaging patients and the public in Choosing Wisely. BMJ Qual Saf. 2017 Aug;26(8):687-691. doi: 10.1136/bmjqs-2017-006595. Epub 2017 Jun 9. No abstract available. PMID 28600453
• BACKGROUNDBraun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3(2): 77-101.
• BACKGROUNDBritten N. Qualitative interviews in medical research. BMJ. 1995 Jul 22;311(6999):251-3. doi: 10.1136/bmj.311.6999.251. PMID 7627048
• BACKGROUNDLincoln YS, Guba EG. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Program Evaluation. 1986; 1986(30): 73-84.
• BACKGROUNDSandelowski M. Sample size in qualitative research. Res Nurs Health. 1995 Apr;18(2):179-83. doi: 10.1002/nur.4770180211. PMID 7899572
• BACKGROUNDMontori VM, Guyatt GH. Intention-to-treat principle. CMAJ. 2001 Nov 13;165(10):1339-41. No abstract available. PMID 11760981
• BACKGROUNDNisson C, Earl A. The Theories of Reasoned Action and Planned Behavior, in The Wiley Encyclopedia of Health Psychology. 2020. p. 55-761.
• BACKGROUNDOgden J, Karim L, Choudry A, Brown K. Understanding successful behaviour change: the role of intentions, attitudes to the target and motivations and the example of diet. Health Educ Res. 2007 Jun;22(3):397-405. doi: 10.1093/her/cyl090. Epub 2006 Sep 13.